HomeMy Public PortalAbout9420 1/4, 9420 1/2,9420 3/4 LAS TUNAS DR_Electrical__ A-53 APPLICATION-, tl OY.\ .�ELice,�VT■.�'C ■ 8R� '
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765.53 12.54 _ 1•
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of:Los. Angeles S U I LD I NGS'
WM.J. FOX. COUNTY ENGINEER ADDRESS C,
CASSATT D. GRIFFIN, SUPT OF BUILDING }
FOR APPLICANT-TO FILL IN LOCALITY
PERMIT FEES 'NEAREST ,
'• CROSS ST.
FEE
NUMBER EACH
LIGHT OUTLETS - OWNER '
MAIL
RECEPTACLES -
ADDRESS
WALL SWITCHES - - y
TOTAL OUTLETS. 5E CITY ��Y�s+/rr fU�y 44TEL_NO.d 4&
ELEC. RANGES 25 ELECTRICIA -E� E ® f7USKEF��
ELEC. HEATERS '25 ADDRESS 14009 E OHIO ST
KW EA - CITY BALDWIN PARK, CALIF.TEL. NO. FL. •3
_FIXTURES 5 LICENSE NO. Q
NUMBER OF LIGHT CIRCUITS
DISTRIC • NO. I GROUP I ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS - /5011IIfp�
MOTORS /
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH -
1�&LESS $ .25
Y2 2 .50
2 5 1.00
5 15 1.50
15 50 .2.50 '
50 200 5.00 -
misc.
NO. SIGNS NO. TRANS. ..
NO. SIGNS ` NO. LAMPS' '
FOR EACH PERMIT:
WIRING $1.00 '
FIXTURES $1.00 T ---
SUPPLEMENTARY .50 -
APPROVALS'
TOTAL FEE $ 7
DATE INSPECTORS SIGNATURE
1HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING `7 I/IYJ V
ELECTRICAL WIRING.
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES l I_
LICENSED AS REQUIRED BY LOS ANGELES COUNTY, AND STATE OF -
CALIFORNIA OR THAT -1 AM THE LEGAL.OWNER F THE ABOVE POWER.
DESCRIBED RESIDENTIAL PROPERTY.
UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITT FINAL � L � ' •
WILLIAM J. FOX, COUNTY ENGINEER. Tip 1 0 2 1.65
��s,,,, �'- DEPUTY•